Hydrocortisone reduces postoperative shivering following day care knee arthroscopy

Pawar, Manjeet Singh; Suri, Neelam; Kaul, Naresh; Lad, Shobha; Khan, Rashid M.

doi:10.1007/s12630-011-9566-7

Cited by 14 publications

(30 citation statements)

References 22 publications

(18 reference statements)

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“…Pawar et al reported that hydrocortisone 1-2 mg/kg iv was effective in prevention of postoperative shivering after knee arthroscopy under general anesthesia [9]. Qioa et al [18] showed that hydrocortisone 2 mg/kg iv was effective in treating shivering after spinal anesthesia in cesarean section.…”

Section: Discussionmentioning

confidence: 99%

“…The mechanism by which hydrocortisone prevents shivering is not known [9]. A previous animal study showed that glucocorticoids have an anabolic effect with an increase in the levels of hepatic ATP [19].…”

Section: Discussionmentioning

confidence: 99%

“…Hydrocortisone has been found to be effective in the prevention of postoperative shivering after general anesthesia [9].…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of preoperative hydrocortisone versus tramadol for attenuation of postoperative shivering after percutaneous nephrolithotripsy: A randomized controlled trial

Rashwan

Raouf

2015

Egyptian Journal of Anaesthesia

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Background: Percutaneous nephrolithotripsy is a technique used for the treatment of renal stones during which an irrigation fluid is used which may cause hypothermia and shivering if not prevented. The aim of this prospective randomized placebo controlled double blinded study was designed to evaluate the efficacy of preoperative hydrocortisone versus tramadol for attenuation of postoperative shivering after percutaneous nephrolithotripsy under general anesthesia Method: 90 ASA I males and females patients aged 20-50 years, planned for percutaneous nephrolithotripsy under general anesthesia were randomly divided into three groups: Group S (n = 30) received 10 ml normal saline IV before induction of general anesthesia Group H (n = 30) received IV hydrocortisone 2 mg/kg before induction of general anesthesia Group T (n = 30) received IV tramadol hydrochloride 1 mg/kg before induction of general anesthesia The following parameters were recorded: Core temperature, heart rate and mean arterial blood pressure before induction of anesthesia, then every 15 min after induction of anesthesia, and every 30 min in the PACU, shivering intensity in the first 2 h postoperative, the incidence of shivering, the number of patients required meperidine and side effects. Results: The number of patients who had shivering was statistically significantly higher in S group (12) than in H group (8) and in T group (7) with no statistically significant differences between H and T groups. Intraoperative heart rate, mean arterial blood pressure and side effects showed no statistically significant difference between the study groups.Conclusion: Preoperative IV hydrocortisone and tramadol were effective in attenuation of postoperative shivering compared to placebo after percutaneous nephrolithotripsy without increasing the incidence of side effects.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Efficacy of preoperative hydrocortisone versus tramadol for attenuation of postoperative shivering after percutaneous nephrolithotripsy: A randomized controlled trial

Rashwan

Raouf

2015

Egyptian Journal of Anaesthesia

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“…For instance, pethidine controls ISSN: 2198-4093 www.bmrat.org shivering through affecting the kappa receptor or having a direct impact on the heat-regulating center. Tramadol acts through the inhibiting the re-uptake of 5-hydroxytryptamine (5-HT, serotonin), norepinephrine and dopamine; as well, easing the release of tramadol inhibits shivering (Davoudi et al, 2009;Honarmand and Safavi, 2008;Pawar et al, 2011;Vanderstappen et al, 1996;Wang et al, 1999).…”

Section: Introductionmentioning

confidence: 99%

Clonidine versus Tramadol for postanesthetic shivering: a randomized clinical trial study

et al. 2017

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Introduction: To compare the effects of oral clonidine and tramadol on shivering caused by spinal anesthesia in patients undergoing transurethral lithotripsy (TUL). Methods: The present study is a triple-blind clinical trial conducted on 80 elective urologic surgical candidates during 2016-2017 at Tehran Hasheminejad Hospital in Iran. Using the Balanced Block Randomization method, the patients were randomly assigned into two groups (40 patients per group) 90 minutes before performing spinal anesthesia. The first group (group C) received 150 µg of oral clonidine and the second group (group T) received 50 mg of oral tramadol. Body temperature, core body temperature, heart rate, diastolic blood pressure and shivering were recorded for the patients at different time periods, and entered in the SPSS22 software program. The above variables were then statistically analyzed using independent sample T-tests chi-squared tests and Repeated Measure ANOVA. Results: The results of this study indicated that there was a significant statistical difference (P<0.05) between the clonidine and tramadol treatment groups with regards to some variables, such as average body temperature and average core temperature, at different time periods. However, for other variables, such as heart rate, systolic blood pressure, diastolic blood pressure and shivering, there were no significant statistical differences between the two treatment groups (P>0.05). Conclusion: Clonidine and tramadol treatment groups were only significantly different in terms of body temperature and core temperature. Therefore, it is recommended that other precise randomized clinical trials be performed to ensure the accuracy of the results of this study.

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“…Numerous pharmacological interventions have been proposed for the treatment of postoperative shivering, however the ideal treatment has not yet been established (9). Meperidine has been reported to be one of the most effective drugs used to treat post-anesthetic shivering (30,31). In the present study, 25 mg meperidine was intravenously administered if the severity of shivering was above grade 2.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of prophylactic epidural ketamine for reducing shivering in patients undergoing caesarean section with combined spinal‑epidural anesthesia

Xue

Zhao

et al. 2018

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Abstract.Intravenous ketamine is known to inhibit postoperative shivering; however, at present, there has been little research on whether this effect may be achieved with epidural application. The aim of the present study was to evaluate the efficacy and safety of epidural ketamine as a prophylactic agent to prevent shivering in patients undergoing caesarean section during combined spinal-epidural anesthesia. A prospective, randomized, double-blind study was performed. A total of 60 patients who were undergoing elective caesarean section under combined spinal-epidural anesthesia and had an American Society of Anesthesiologists physical status of I or II were recruited. Patients were randomly allocated to group S (epidural administration of normal saline; n=30) or group K (epidural ketamine 0.5 mg/kg; n=30). An investigator, blinded to the treatment groups, graded postoperative shivering using a 4-point scale and postoperative sedation on a 5-point scale. Operative time, hemodynamic changes and side effects, including hypotension, bradycardia, nausea and hallucinations, were recorded. The results demonstrated that patients' characteristics were not significantly different between groups. Heart rate, peripheral capillary oxygen saturation (SpO 2 ) values and Apgar scores at 1 and 5 min also did not differ significantly between groups. The incidence and severity of shivering in group K was significantly reduced compared with group S (P<0.05). The mean arterial pressure (MAP) was significantly different in groups S and K compared with baseline values at 10, 30 and 60 min (P<0.05). Furthermore, MAP values at 10, 30 and 60 min were significantly higher in group K compared with in group S (P<0.05). The results of the present study suggest that epidural administration of prophylactic low-dose ketamine may be an effective strategy for preventing postoperative shivering.

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Hydrocortisone reduces postoperative shivering following day care knee arthroscopy

Cited by 14 publications

References 22 publications

Efficacy of preoperative hydrocortisone versus tramadol for attenuation of postoperative shivering after percutaneous nephrolithotripsy: A randomized controlled trial

Efficacy of preoperative hydrocortisone versus tramadol for attenuation of postoperative shivering after percutaneous nephrolithotripsy: A randomized controlled trial

Clonidine versus Tramadol for postanesthetic shivering: a randomized clinical trial study

Efficacy of prophylactic epidural ketamine for reducing shivering in patients undergoing caesarean section with combined spinal‑epidural anesthesia

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